Returning to Learning Following a Concussion

被引:241
作者
Halstead, Mark E.
McAvoy, Karen
Devore, Cynthia D.
Carl, Rebecca
Lee, Michael
Logan, Kelsey
机构
[1] School Health, Sports Medicine and Fitness
关键词
head injury; mild traumatic brain injury; pediatrics; return to school; academics; return to learn; cognitive deficits; SCHOOL; STATEMENT;
D O I
10.1542/peds.2013-2867
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Following a concussion, it is common for children and adolescents to experience difficulties in the school setting. Cognitive difficulties, such as learning new tasks or remembering previously learned material, may pose challenges in the classroom. The school environment may also increase symptoms with exposure to bright lights and screens or noisy cafeterias and hallways. Unfortunately, because most children and adolescents look physically normal after a concussion, school officials often fail to recognize the need for academic or environmental adjustments. Appropriate guidance and recommendations from the pediatrician may ease the transition back to the school environment and facilitate the recovery of the child or adolescent. This report serves to provide a better understanding of possible factors that may contribute to difficulties in a school environment after a concussion and serves as a framework for the medical home, the educational home, and the family home to guide the student to a successful and safe return to learning.
引用
收藏
页码:948 / 957
页数:10
相关论文
共 18 条
[1]   Examining concussion rates and return to play in high school football players wearing newer helmet technology: A three-year prospective cohort study [J].
Collins, M ;
Lovell, MR ;
Iverson, GL ;
Ide, T ;
Maroon, J .
NEUROSURGERY, 2006, 58 (02) :275-284
[2]   Role of the School Physician [J].
Devore, Cynthia DiLaura ;
Wheeler, Lani S. M. ;
Devore, Cynthia ;
Allison, Mandy ;
Ancona, Richard ;
Barnett, Stephen ;
Gunther, Robert ;
Holmes, Breena Welch ;
Lamont, Jeffrey ;
Minier, Mark ;
Okamoto, Jeffery ;
Wheeler, Lani ;
Young, Thomas ;
Murray, Robert .
PEDIATRICS, 2013, 131 (01) :178-182
[3]  
Faul MX., 2010, Centers for Disease Control and Prevention, National Center for Injury Prevention and Control
[4]   Clinical Report-Sport-Related Concussion in Children and Adolescents [J].
Halstead, Mark E. ;
Walter, Kevin D. .
PEDIATRICS, 2010, 126 (03) :597-611
[5]   American Medical Society for Sports Medicine Position Statement: Concussion in Sport [J].
Harmon, Kimberly G. ;
Drezner, Jonathan ;
Gammons, Matthew ;
Guskiewicz, Kevin ;
Halstead, Mark ;
Herring, Stan ;
Kutcher, Jeff ;
Pana, Andrea ;
Putukian, Margot ;
Roberts, William .
CLINICAL JOURNAL OF SPORT MEDICINE, 2013, 23 (01) :1-18
[6]   Effects of Concussion on Attention and Executive Function in Adolescents [J].
Howell, David ;
Osternig, Louis ;
Van Donkelaar, Paul ;
Mayr, Ulrich ;
Chou, Li-Shan .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2013, 45 (06) :1030-1037
[7]   Importance of 'Return-to-Learn' in Pediatric and Adolescent Concussion [J].
Master, Christina L. ;
Gioia, Gerard A. ;
Leddy, John J. ;
Grady, Matthew F. .
PEDIATRIC ANNALS, 2012, 41 (09) :E180-E185
[8]  
McAvoy K, 2012, BRAIN INJ PROF, V9, P26
[9]  
McAvoy K., 2012, COMMUNIQUE, V40, P23
[10]   Consensus Statement on Concussion in Sport-the 4th International Conference on Concussion in Sport Held in Zurich, November 2012 [J].
McCrory, Paul ;
Meeuwisse, Willem ;
Aubry, Mark ;
Cantu, Robert ;
Dvorak, Jiri ;
Echemendia, Ruben J. ;
Engebretsen, Lars ;
Johnston, Karen ;
Kutcher, Jeffrey S. ;
Raftery, Martin ;
Sills, Allen ;
Benson, Brian W. ;
Davis, Gavin A. ;
Ellenbogen, Richard G. ;
Guskiewicz, Kevin M. ;
Herring, Stanley A. ;
Iverson, Grant ;
Jordan, Barry D. ;
Kissick, James ;
McCrea, Michael ;
McIntosh, Andrew S. ;
Maddocks, David L. ;
Makdissi, Michael ;
Purcell, Laura ;
Putukian, Margot ;
Turner, Michael ;
Schneider, Kathryn ;
Tator, Charles H. .
CLINICAL JOURNAL OF SPORT MEDICINE, 2013, 23 (02) :89-117